Nursing home transition and diversion Medicaid waiver program.

Assisting individuals with disabilities and seniors toward successful inclusion in the community.

The Nursing Home Transition and Diversion (NHTD) Medicaid Waiver is a Home and Community Based Services (HCBS) program, administered by the New York State Department of Health (DOH). The NHTD waiver uses Medicaid funding to provide support and services to assist individuals with disabilities or seniors toward successful inclusion in the community. Waiver participants may come from a nursing facility or other institution (transition), or choose to participate in the waiver to prevent institutionalization (diversion). Waiver services may be considered when informal support, local, State and federally funded services and Medicaid State Plan services are not sufficient to assure the health and welfare of the individual in the community, or when waiver services are a more efficient use of Medicaid funds.

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The waiver is a useful program to prevent seniors and/or individuals with disabilities from institutionalization.

The philosophy of the program is that individuals with disabilities and/or seniors have the same rights and therefore should be in control of their lives, encounter and manage risks and learn from their experiences.

Each participant in the waiver will have a Service Coordinator who will assist them in gaining access to needed services, as well as other local, state and federally funded educational, vocational, social, medical and any other services.

NHTD Enrollment Process

Call the RRDC

Call the RRDC and request the Waiver Program.

Nurse evaluation

A nurse from the RRDC will come down to evaluate whether the applicant is eligible for the waiver program.

Select Agency

Once you are deemed eligible you can choose a Service Coordination agency, like Regency, who will assist with your Initial Service Plan (ISP) which will get services started.

Frequently Asked Questions

Yes. Since NHTD is a Medicaid Waiver Program active Medicaid is required to enroll and must be maintained while participating in the NHTD program.
Be between the ages of 18 and 64 with a physical disability, or age 65 and older upon application to the waiver.
The NHTD Waiver Program is covered 100% by Medicaid and as long your Medicaid remains active there will be no cost to you.
-Service Coordination
-Assistive Technology
-Community Integration Counseling
-Community Transitional Services
-Congregate and Home Delivered Meals
-Environmental Modification Services
-Home and Community Support Services
-Home Visits by Medical Personnel
-Independent Living Skills Training
-Moving Assistance
-Nutritional Counseling/Educational Services
-Peer Mentoring
-Positive Behavioral Interventions and Supports
-Respiratory Therapy
-Respite Services
-Structured Day Program Services
-Wellness Counseling Services


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